An insurance company often requires this type of preapproval for certain services, procedures, prescription medications, and medical supplies. Your healthcare team can often help you navigate this ...

Please provide your email address to receive an email when new articles are posted on . Be meticulous in checking the accuracy of your applications before submitting them. Use resources from the ACAAI ...

The manual prior authorization process stands as a notorious drain on both time and money. For ASCs, this aspect of the revenue cycle curtails efficiency but also strains staff resources, jeopardizing ...

Abridge is partnering with real-time health information network Availity to fire up AI-powered prior authorization, expanding ...

Humata Health has received $25 million in a funding round to improve the prior authorization experience for payers and providers. The funding round was led by Blue Venture Fund, the VC arm of most ...

The U.S. Department of Health and Human Services has secured a pledge from insurers to streamline the companies’ practice of requiring prior authorizations before covering a claim. “Americans ...

The nation’s major health insurers are promising to scale back and improve a widely despised practice that leads to care delays and complications. UnitedHealthcare, CVS Health's Aetna and dozens of ...

Remember that physician who wanted to develop a Current Procedural Terminology (CPT) code for prior authorizations? It hasn't happened yet, but he hasn't given up on it, either. In May, Alex ...

Large health insurance companies vowed to cut down the use of and improve a common tool to vet requests before letting doctors bill for medical services or prescriptions. UnitedHealthcare, Blue Cross ...

Prior authorizations stand as both a gatekeeper and a stumbling block for the ASC industry. These pre-approvals required by payers serve as a crucial step in ensuring the medical necessity of ...

Please provide your email address to receive an email when new articles are posted on . Attempts to curtail prior authorizations for patients insured by Medicare Advantage plans have failed in back-to ...